It is worth noting that alternative incretin-based therapies exist if Mounjaro proves persistently intolerable, though all medications in this class carry similar gastrointestinal side effect profiles
Spinach (Cooked): 1 cup (180 grams) - 0.4 mg - 31% RDA 7
For all other patients, periodic thyroid examination and awareness of thyroid-related symptoms (neck mass, dysphagia, persistent hoarseness) is prudent during long-term therapy
Delay doses if vomiting or dehydration occur, and follow your clinicians timing for surgery or sedation
Sibai A
Diabetes 67(Supplement 1):522 Gerstein HC, Colhoun HM, Dagenais GR, Diaz R, Lakshmanan M, Pais P et al (2019) Dulaglutide and renal outcomes in type 2 diabetes: an exploratory analysis of the REWIND randomised, placebo-controlled trial